Preparing for your first visit:

Welcome to our Practice.  Prior to beginning treatment at a Premier Medical Group office, we will need your general history information. You may complete this information at your first visit, or at your convenience ahead of time, which we recommend.

In the section below, you will find printable General Forms, Accident/No Fault/Injury and Assignment of Benefits Forms that you may print at home, complete and bring with you to your first visit. Please complete the General Health Information , Workers Comp/ No Fault/ Medi-Pay Insurance and Assignment of Benefits forms in their entirety. 

Be sure to bring your insurance card with you and have it available for the receptionist upon checking in. In addition, please obtain your referral authorization from your primary care or specialist physician prior to your first appointment.

To help ensure a productive first visit, bring all previous X-Ray/MRI studies and reports, along with all medical records (office notes, surgery reports, etc.) pertaining to your injury or condition(s) with you to your first appointment.

We ask that you notify us at least 24 hours in advance if you cannot keep your appointment.  For further details regarding our “Office Policies”, click here.

If you have any questions, please contact the office location where your appointment is scheduled.

Downloadable Forms/Interactive PDF Forms

General Health Information

Assignment of Benefits

Accident / Injury Insurance Form (Only needed if your condition is due to a car/work accident)

*You will need Adobe Acrobat Reader in order to view the .pdf file. If you do not have the Adobe Acrobat Reader software, you can get it for free by clicking on the icon 'Get Acrobat® Reader'. This will take you to Adobe's website and enable you to download the free Acrobat Reader program to your computer. If you are not sure if you have this software, try clicking on one of the above links. You'll quickly find out if it opens in this software.